Abstract
KSHARA PICHU – A NON INVASIVE APPROACH IN SHALYAJA NADIVRANA–CHRONIC POST LAPAROSCOPIC PARAUMBILICAL HERNIOPLASTY SINUS

Shailaja S. V.* and Arpitha H. R.

ABSTRACT

This case report of the patient who was received in the OPD of SKAMCH&RC presented with chronic non healing sinus which occurred as post-surgical complication caused by the presence of infected sutures and mesh used during laparoscopic mesh repair of paraumbilical hernia. After thorough examination and necessary investigation, under spinal anaesthesia umbilical excision, removal of the infected mesh and offending sutures done which was the primary focus of infection followed by herniorrhaphy to correct the defect in linea alba, patient’s recovery thereafter was uneventful. Then on OPD basis, the sinus was treated with the insertion of kshara pichu which was prepared in the lab of SKAMCH&RC from which chemical debridement of fibrosed tissue and drainage of pus was observed. When minimal soakage and healthy granulation tissue was observed at the opening of the sinus, kshara pichu treatment was stopped and jatyadi thaila pichu treatment was started to facilitate wound healing. The patient recovered well with complete healing of the tract within a span of 8 weeks.

Keywords: Shalyaja nadi vrana, post laparoscopic paraumbilical hernioplasty sinus, Kshara pichu, jatyadi thaila pichu.


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